Coronary Artery Disease Clinical Trial
Official title:
Decisional Quality for Patients With Stable Coronary Artery Disease
The objective of the DeQCAD study is to measure the quality of the decision-making process for patients with coronary artery disease (CAD) and Acute Coronary Syndrome (ACS) who are making treatment decisions. In particular, this study is seeking to answer: a) How informed are patients about their treatment choices, b) are patients participating in the decision-making process as much as they would like to, and c) do the treatment decisions made match patients' preferences?
For patients with coronary artery disease (CAD), having a stent (or percutaneous coronary
intervention or PCI) involves both risk and inconvenience, and thus it represents a classic
"preference-sensitive" situation, in which treatment decisions should be aligned with the
patient's preferences.
In this project the investigators will develop the first comprehensive, patient-reported
measure of decisional quality for CAD that is feasible to implement in a variety of settings.
The investigators will accomplish this by: 1) Identifying the key elements to capture
decisional quality and identifying candidate questions to address these elements, using
patient and expert feedback; 2) Pilot testing a preliminary instrument in a diverse patient
population to assess measurement properties and select a reduced set of candidate questions
for further testing; and 3) Establish the reliability and validity of a new comprehensive
decisional quality measure for single and repeated examinations. This will result in a
multidimensional decisional quality instrument for patients with CAD that will be ready for
implementation into routine care.
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